LOW BIRTH WEIGHT BABIES Presented By:- Aayushi Patel 4 th Year Bsc Nursing Guided By:- Ms. Akruti Ramoliya Assistant Professor
D E F I N ITI O N: - “Any Neonate with a birth weight of less than 2500 gm, irrespective of the of gestational age is termed as Low birth weight baby.”
BIRTH WIGHT GRADES GRADING
Mainly two types based on the origin:- • <37 completed weeks of gestation. • 1/3 cases of lbw Types of LBW 1. PRETERM
• <10th centile for gestational age. • 2/3 cases of lbw • condition in which baby doesn’t grow to normal weight during pregnancy ( due to placenta abnormalities, High BP in mother or infection and smoking / alcohol abuse in mother ) Types of LBW 2. Small for sate (SFD) / intrauterine growth retardation (IUGR)
CAUSES In nearly 50% of cases of LBW the cause is not known. In remaining 50% the causes are grouped into Medical b) social
CAUSES Medical causes Maternal causes : all high risk mothers except Diabetics. 2. Placental causes : Placenta previa , Congenital defects of placenta etc. 3. Fetal causes : Multiple gestation, Hydramnios , intrauterine infections etc.
CAUSES b) Social causes Poverty, Illiteracy, Ignorance, Poor standard of living, lack of knowledge on family planning, early marriages, smoking etc
Care of LBW babies Depends upon birth weight:- 1) 2500 – 2000 gm - Requires special care at home 2) <2000 gm - Requires special care at hospital 3) <1500 gm & >1000 gm - Requires kangaroo mother care and NICU care.
Management •Prevention of prematurity •Prevention of preterm labor •Care of preterm neonate
Other Management 1) MONITORING – vital signs Activity and behavior- Skin color- pink, pale, yellow, 2) Thermal comfort- Incubator should be available Extremely lbw babies Are covered with thin transparent plastic sheet for prevention of evaporation from skin. 3) Oxygen therapy- oxygen should ne administered with head box when saturation is less than 85%.
Assignment Define lbw baby. (2 marks) 2) Enlist causes of lbw baby. (3 marks) 3) Describe the management of lbw baby amd Write down the nursing management of Hyperbilirubinemia . (5 marks) Submitted on : 10 th September